Palmetto GBA is out with its top denail reasons for the second quarter of 2025, and there isn’t much of a surprise in the top three slots.
 
No response was No. 1 at 38% of denials. Experts have noted that you should respond with the requested documentation, even if you think you’ll get a denial.
 
At No. 2 was “No plan of care or certification” at 29.5%, followed by “Face-to-face encounter requirements not met” in third with 15.7%.
 
The rest of the top five included “No physician’s orders for services” at 2.8% and “Information provided doesn’t support the medical necessity for therapy services” at 2.7%.
 
Results were based on 1,065 denials from April through June 2025.
 
See the full top 10 denial reasons below: